Abstract
Objective This study aimed to evaluate morphological features of the anterior clinoid process
(ACP) and the optic strut (OS) in Chiari malformation Type I (CM-I).
Methods The study universe consisted of computed tomography images of 41 CM-I patients and
45 normal subjects. Comparison of the parameters for CM-I and the control group was
performed with the Student's t-test. A “p < 0.05” was accepted as the significance level.
Results ACP length was smaller in CM-I than the control group (p < 0.001). In contrast to ACP length, ACP angle (p < 0.001), OS length (p = 0.022), and the distance between ACP and OS (p = 0.020) were found greater in CM-I in comparison to the control group (p < 0.05). ACP width (p = 0.233) and OS width (p = 0.376) were similar in both groups. ACP pneumatization in CM-I group was found
as 12.20%, whereas in the control group as 8.90%. Two different types about the pneumatization
were identified in CM-I group (Type 1: 4.9% and Type 2: 7.3%), whereas three different
types in the control group (Type 1: 3.3%, Type 2: 4.4%, and Type 3: 1.1%). Relative
to ACP, three different types about OS position were identified in CM-I group (Type
C: 31.70%, Type D: 64.60%, and Type E: 3.70%) and the control group (Type C: 7.80%,
Type D: 64.40%, and Type E: 27.80%).
Conclusion Shorter ACP, wide-angled ACP, longer OS, and more anteriorly located OS were found
in CM-I group compared with the normal group. Our findings showed that the pneumatization
of ACP was not affected by CM-I.
Keywords
anterior clinoidectomy - pneumatization - anterior clinoid process - optic strut -
Chiari malformation Type I
